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Virginia rates for HCPCS A5081

Stoma Plug Or Seal Any Type Revised 1/1/2014

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.44 / $2.44 / $3.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.44 / $2.44 / $3.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.31 / $2.31 / $3.01
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.12 / $3.12 / $3.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.60 / $2.60 / $2.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.89 / $2.21 / $2.68
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.47 / $3.94 / $5.52
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.26 / $2.76 / $4.97
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $5.18 / $6.56
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.60 / $3.11 / $5.81
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.60 / $3.11 / $5.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.77 / $1.96 / $3.27